Active NPI
Alta Landis, MS, LPC
- Professional Counselor
- Lancaster, PA
National Provider Identifier
1417971128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC002637
- Practice address
- 1803 Oregon Pike
Lancaster, PA 17601-6401 - Phone
- (717) 560-9969
- Fax
- (717) 560-9553
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC002637 | PA | Primary |
Addresses
Primary practice location
1803 Oregon Pike
Lancaster, PA 17601-6401
Mailing address
1803 Oregon Pike
Lancaster, PA 17601-6401
Phone (717) 560-9969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810884 | Other | PA | HIGHMARK BLUE SHIELD |
| 50056087 | Other | PA | CAPITALBLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC002637 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Center | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417971128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 OREGON PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016401",
"telephone_number": "717-560-9969",
"fax_number": "717-560-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 OREGON PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016401",
"telephone_number": "717-560-9969",
"fax_number": "717-560-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "ALTA",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC002637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "810884",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITALBLUECROSS",
"identifier": "50056087",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.